Table 4 Health outputs among people living with NCD in Idleb (N = 214)
From: Evolution and lessons from an integrated service delivery network in North West Syria
Variables | Within the network | Outside the network | Mobile Clinics | Total | p-value* |
|---|---|---|---|---|---|
Hypertension-related variables | |||||
Date of diagnosis – HTN (n = 160) | 0.738 | ||||
Less than one year ago (n,%) | 11 (18.3) | 16 (22.2) | 6 (21.4) | 33 (20.6) | |
One year ago or more (n,%) | 49 (81.7) | 56 (77.8) | 22 (78.6) | 127 (79.4) | |
Years (mean, SD) | 5.40 (4.63) | 5.64 (3.98) | 6.18 (5.80) | 5.64 (4.56) | 0.777 |
Number of consultations for HTN (mean score ± SD) | 5.40 (4.38) | 5.92 (3.89) | 5.96 (2.85) | 5.73 (3.9) | 0.474 |
Ability to assess blood pressure (BP) in the last 3 months (n,%) | 54 (90.0) | 59 (81.9) | 28 (100) | 141 (88.1) | 0.287 |
Able to recall and report the last reading (n,%) | 27 (50.0) | 41 (69.5) | 18 (64.3) | 86 (61.0) | 0.055 |
Systolic Blood Pressure (SBP) in mmHg (mean, SD) | 153 (23) | 152 (21) | 139 (20) | 149 (23) | 0.824 |
Diastolic Blood Pressure (DBP) in mmHg (mean, SD) | 89 (9) | 91 (16) | 86 (10) | 89 (13) | 0.821 |
Disease control based on the last reading (n,%)** | 4 (14.8) | 6 (14.6) | 5 (27.8) | 15 (17.4) | 0.999 |
Self-assessment of HTN control level | 0.827*** | ||||
Not at all controlled | 1 (1.7) | 3 (4.2) | 1 (3.6) | 5 (3.1) | |
Not controlled | 13 (21.7) | 15 (20.8) | 7 (25.0) | 35 (21.9) | |
Somehow controlled | 26 (43.3) | 27 (37.5) | 10 (35.7) | 63 (39.4) | |
Controlled | 20 (33.3) | 26 (36.1) | 10 (35.7) | 56 (35.0) | |
Well controlled | 0 (0.0) | 1 (1.4) | 0 (0.0) | 1 (0.6) | |
Eye examination – HTN (n,%) | 18 (31.0) | 11 (15.7) | 10 (40.0) | 39 (25.5) | 0.039 |
Diabetes-related variables | |||||
Date of diagnosis – DM (n = 117) | 0.390 | ||||
Less than one year (n,%) | 6 (11.3) | 9 (19.6) | 2 (11.1) | 17 (14.5) | |
One year or more | 47 (88.7) | 37 (80.4) | 16 (88.9) | 100 (85.5) | |
Years (mean, SD) | 5.95 (6.37) | 5.30 (4.05) | 3.87 (3.20) | 5.37 (5.18) | 0.589 |
Number of consultations for DM (mean score ± SD) | 6.10 (7.09) | 6.80 (3.93) | 7.28 (3.71) | 6.56 (5.53) | 0.549 |
Ability to assess your blood sugar in the last 3 months (n,%) | 35 (66.0) | 31 (67.4) | 14 (77.8) | 80 (68.4) | 0.999 |
Reported the last reading (n,%) | 35 (66.0) | 31 (67.4) | 14 (77.8) | 80 (68.4) | 0.999 |
Fasting blood sugar (mean, SD) | |||||
Disease control based on the last reading of FBS (n,%) | 2 (5.7) | 4 (12.9) | 3 (21.4) | 9 (11.3) | 0.408FE |
Self-reported disease control | 0.118*** | ||||
Not at all controlled | 4 (7.5) | 3 (6.5) | 1 (5.6) | 8 (6.8) | |
Not controlled | 4 (7.5) | 8 (17.4) | 5 (27.8) | 17 (14.5) | |
Somehow controlled | 25 (47.2) | 26 (56.5) | 8 (44.4) | 59 (50.4) | |
Controlled | 18 (34.0) | 9 (19.6) | 4 (22.2) | 31 (26.5) | |
Well controlled | 2 (3.8) | 0 (0.0) | 0 (0.0) | 2 (1.7) | |
Eye examination – DM (n,%) | 19 (37.3) | 7 (15.6) | 8 (44.4) | 34 (29.8) | 0.031 |
Both NCD | |||||
Referral for NCD (n, %) | 45 (51.7) | 52 (50.5) | 22 (52.4) | 119 (51.3) | 0.980 |
Patient experience with the referral for NCD (n,%) | 0.973*** | ||||
Not at all satisfied | 0 (0.0) | 0 (0.0) | 2 (8.0) | 2 (1.7) | |
Not satisfied | 1 (2.4) | 1 (1.9) | 6 (24.0) | 8 (6.7) | |
Neither satisfied nor dissatisfied | 7 (17.1) | 10 (18.9) | 3 (12.0) | 20 (16.8) | |
Satisfied | 28 (68.3) | 35 (66.0) | 13 (53.0) | 76 (63.9) | |
Very satisfied | 5 (12.2) | 7 (13.2) | 1 (4.0) | 13 (10.9) | |
Reported health status (n,%) | 0.459*** | ||||
Very bad | 1 (1.1) | 2 (2.4) | 1 (2.6) | 4 (1.9) | |
Bad | 20 (22.2) | 18 (21.2) | 8 (20.5) | 46 (21.5) | |
Fair | 34 (37.8) | 39 (45.9) | 17 (43.6) | 90 (42.1) | |
Good | 32 (35.6) | 26 (30.6) | 13 (33.3) | 71 (33.2) | |
Very good | 3 (3.3) | 0 (0.0) | 0 (0.0) | 3 (1.4) | |